Bill Review Manager
Location: US, FL, Fort Worth
Employment type: Full-time
Required experience: Mid-Senior level
Required education: Bachelor's Degree
Industry: Hospital & Health Care
Function: Health Care Provider

Company profile:
SpotSource Solutions LLC is a Global Human Capital Management Consulting firm headquartered in Miami, Florida. Founded in January 2012, SpotSource has created a fusion of innovative service offerings to meet the increasing demand of today’s economy. We specialize in Talent Acquisition, Staffing, and Executive Search Services across various functions and in specific industries. Global Talent Transfusion (GTT) services utilize best in practice qualification standards to deliver talent in temporary, temporary-to-hire, and permanent basis. Health Career Transition (HCT) is a subsidiary of Global Talent Transfusion and offers placement services specifically in the growing Healthcare arena. SpotSource Executive Search (SES) Consultants are special breed talent evangelists that understand how to advise and streamline the human resources process in the direction your organization requires for long term sustainability and success. Succession Planning. Leadership Development Programs. Compensation Analysis. Recruitment Process Outsourcing. All customized to best suit the needs of your business. We understand the demand for cost-effective solutions for your organization. Are you seeking a potential career transition and interested in discussing the current hiring trends and open positions? Vital Career Consulting (VCC) offers career transitional services catered specifically for the job applicant, including Resume Construction, Social Media Optimization, and Interview Coaching.Address:4100 N Powerline Rd. Ste Z3Pompano Beach FL 33073Office: #PHONE_c90b6ca89acd18d9e31ea3590b4ad76605721bc372025598fe9e1e60cf428551#

Job description:
JOB TITLE: Itemization Review ManagerLOCATION: Fort Worth, TX                                                           DEPARTMENT: Itemization ReviewREPORTS TO: VP Operations                            GENERAL DESCRIPTION:Responsible for the overall aspects of Itemization Review operations: Personnel Hiring, Quality Control of Process, Workflow, monitoring the tracking of and accountability of staff regarding production standards and department expectations.DUTIES AND RESPONSIBILITIES:Oversee company’s Itemization Review department in its operationsResponsible for encouraging and reinforcing company cultureDevelops processes to better department and implements new procedures/protocols Works with Customer Service on elevated issues and provider callsImplements and Audits policy in conjunction with Policy and Payment Integrity department Monitoring quality/and quality control of results for department Responsible for ensuring overall metrics are in compliance with management and client expectationsResponsible for human resources matters directly related to department supervised (i.e. Interviewing, Hiring, Training, annual evaluations, electronic time cards, and addressing personnel issues)May create/review daily, weekly, monthly reports, invoices, logs and expensesAdditional duties/responsibilities as assigned Comply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (“IIPP”), as well as, maintain HIPAA complianceOccasional interaction with customers 

Requirements:
QUALIFICATIONS:RN license in the State of TexasDiploma or Bachelors of Science in Nursing, requiredPast managerial experience, preferred6 + years’ experience as OR NurseExperience with facility bills helpfulStrong knowledge of ICD9/CPTKnowledge of Fee Schedules, Rules and R&amp;C GuidelinesMust be able to remain poised in stressful situationsHighly Motivated, Self-StarterExceptional organizational skillsAbility to handle deadlines and proactively problem solveEffective and professional communication skillsAbility to meet or exceed Performance CompetenciesDemonstrated outstanding leadership, problem solving, and analytical skillsAbility to think and work independently, while working in an overall team environmentProficient in Microsoft Office Suite

Benefits:
Full Benefits Offered